Registration Form

MichMATYC 2002
Monroe County Community College
Historically Speaking

October 4 and 5, 2002

 

Name:                                                                                                                                                 

College:                                                                                                                                               

Mailing Address:             ___ Home                           ___ School

Address:                                                                                                                                              

City/State/Zip:                                                                                                                           

Phone: (            )                                                           FAX:    (           )                                              

E-Mail:                                                                                                                                                

Name for Tag:                                                                                                                            

Registration for social event Friday evening October 4, 2001
(includes dinner)

$25.00

Registration for conference October 5, 2002
(includes conference registration, lunch and MichMATYC membership fee)

$30.00

Contribution toward MichMATYC Student Scholarship Award


$_______


Total


$_______

Make checks payable to:  Vinnie Maltese

Mail checks and registration forms to:
            Vinnie Maltese 
            Science-Mathematics Division
            Monroe County Community College
            1555 S. Raisinville Road
            Monroe, MI  48161

For questions, contact: Khadija Ahmed, Martha Crawmer, Vinnie Maltese, Mark Naber, Kathy Shepherd

Conference Website: http://www.monroeccc.edu/kahmed/MichMATYC/michmatyc2002.htm